It is at this location, where squamous cells meet glandular cells, that cancer is
more likely to develop. ~CORRECT ANSWER~✓✓Transformation zone
Pap Screening starts at what age? ~CORRECT ANSWER~✓✓21
Routine HPV screening starts at what age? ~CORRECT ANSWER~✓✓30
A patient is founds to have ASC-H? What is the next step? ~CORRECT
ANSWER~✓✓Colposcopy
Cervical Cancer is typically slow growing and occurs predominantly in women
of what age? ~CORRECT ANSWER~✓✓40-44
Most SE's of COC's resolve over the first ____ months. ~CORRECT
ANSWER~✓✓6
Common side effects of COC's include: ~CORRECT ANSWER~✓✓Breast
tenderness, nausea, headache, breakthrough bleeding (BTB)
Theresa is a 33 y.o smoker with no health history. Can she be prescribed a COC
pill? ~CORRECT ANSWER~✓✓yes- Would be contraindicated in a smoker age
>/= 35.
,Linda is a 35 y.o smoker with a history of undiagnosed vaginal bleeding,
triglyceride level of 269, and a history of DVT. Can she be prescribed a COC pill?
~CORRECT ANSWER~✓✓No. Contraindications to COC pill include: Smoker,
aged >/=35, hx of thrombolytic event (MI, DVT, Stroke), hx or current breast
cancer, uncontrolled HTN or DM, prolonged immobilization, triglycerides > 250,
active liver disease, women at increased risk of cardiac dse, Active SLE, and
undiagnosed vaginal bleeding
Danielle is a 29 y.o. She is in grad school and admits to having acne, having
heavy cycles, and never being in the sunlight. She wants to start on a BC pill and
is interested in COC's. What could you tell her might be advantages to using
COC's? ~CORRECT ANSWER~✓✓Decreased menorrhagia, acne, PCOS, ovarian
cysts, PID, ovarian/endometrial cancer, benign breast disease, ectopic
pregnancy. Increased bone density.
What kind of hormone(s) does the NuvaRing contain? ~CORRECT
ANSWER~✓✓Estrogen and Progestin
How long can the NuvaRing be removed without losing efficacy? ~CORRECT
ANSWER~✓✓3 hours
What hormone(s) does the transdermal patch contain (orthevra or xulane)?
~CORRECT ANSWER~✓✓Estrogen and Progestin
Is the patch effective for all shapes and sizes of women? ~CORRECT
ANSWER~✓✓Less effective in obese women
,What are the contraindications to the transdermal patch for BC? ~CORRECT
ANSWER~✓✓Same as COC's: Smoker >/= age 35, history of thrombolytic events
(MI, DVT, stroke), history or current breast cancer, uncontrolled HTN or DM,
Prolonged immobilization, Triglycerides > 250, active liver disease, women at
increased risk of cardiac disease, active SLE, undiagnosed vaginal bleeding
What are some extended use combination contraceptives? How do they work?
~CORRECT ANSWER~✓✓Seasonale, Seasonique, Lybrel- the lining of the uterus
doesn't build up, so menses is not needed. The pills delay or eliminate
menstruation
What are the benefits of extended use contraceptives? ~CORRECT
ANSWER~✓✓Decreased anemia, dysmenorrhea, or pre-menstrual depression
What is common during the first several months of use in extended use
combination contraceptives? ~CORRECT ANSWER~✓✓Breakthrough bleeding
(BTB)
Hillary is a 38 y.o smoker with SLE. She wants to use a BC pill, but does not
know what kind. As her NP, what would you suggest? ~CORRECT
ANSWER~✓✓A progestin only BC option. Due to her SLE, a progestin only
option is preferred to a COC, but must still be used in caution.
Laura has been prescribed a POP. She reports working 12 hour shifts and getting
home at irregular hours each night. What is appropriate education for Laura,
concerning her POP? ~CORRECT ANSWER~✓✓MUST be taken at the SAME
, time each day. A delay of even a couple of hours can result in contraceptive
failure. And you don't want that, Laura!
Erin had her baby 4 months ago. She is still breastfeeding, but wants to start on
contraception. What is a safe contraceptive to start her on? ~CORRECT
ANSWER~✓✓Progestin only methods- Safe to use while breastfeeding
Allison is very concerned b/c she was started on a progestin only contraceptive
device two months ago and has had irregular bleeding. What should you tell
her? ~CORRECT ANSWER~✓✓Irregular bleeding is very common with all
progestin only methods of BC.
Maria has heard about IUD's from her friend and comes to your clinic today
wanting to discuss advantages, SE's, and contraindications of IUD's. What
should you tell her? ~CORRECT ANSWER~✓✓Advantages: Decreased
menorrhagia, dysmenorrhea, and anemia, can be used by lactating women and
in those w/ contraindications to estrogen. May be used as treatment for
menorrhagia.
SE's: Irregular bleeding (may be heavy), worse the first few months. Headache,
mastalgia, acne, expulsion (more common in first few cycles), uterine perforation
at time of insertion
CONTRAINDICATIONS: Pregnancy!!, uterine abnormalities causing distortion,
Acute PID, or high risk for PID, endometrial infection in past 3 months. Uterine,
cervical, breast cancer. undiagnosed vaginal bleeding, acute mucopurulent
cervicitis.
What do Mirena, Skyla, Liletta, and Kyleena all have in common? ~CORRECT
ANSWER~✓✓They are all progestin-only IUD's; Highly effective with a duration
of 3-5 years
more likely to develop. ~CORRECT ANSWER~✓✓Transformation zone
Pap Screening starts at what age? ~CORRECT ANSWER~✓✓21
Routine HPV screening starts at what age? ~CORRECT ANSWER~✓✓30
A patient is founds to have ASC-H? What is the next step? ~CORRECT
ANSWER~✓✓Colposcopy
Cervical Cancer is typically slow growing and occurs predominantly in women
of what age? ~CORRECT ANSWER~✓✓40-44
Most SE's of COC's resolve over the first ____ months. ~CORRECT
ANSWER~✓✓6
Common side effects of COC's include: ~CORRECT ANSWER~✓✓Breast
tenderness, nausea, headache, breakthrough bleeding (BTB)
Theresa is a 33 y.o smoker with no health history. Can she be prescribed a COC
pill? ~CORRECT ANSWER~✓✓yes- Would be contraindicated in a smoker age
>/= 35.
,Linda is a 35 y.o smoker with a history of undiagnosed vaginal bleeding,
triglyceride level of 269, and a history of DVT. Can she be prescribed a COC pill?
~CORRECT ANSWER~✓✓No. Contraindications to COC pill include: Smoker,
aged >/=35, hx of thrombolytic event (MI, DVT, Stroke), hx or current breast
cancer, uncontrolled HTN or DM, prolonged immobilization, triglycerides > 250,
active liver disease, women at increased risk of cardiac dse, Active SLE, and
undiagnosed vaginal bleeding
Danielle is a 29 y.o. She is in grad school and admits to having acne, having
heavy cycles, and never being in the sunlight. She wants to start on a BC pill and
is interested in COC's. What could you tell her might be advantages to using
COC's? ~CORRECT ANSWER~✓✓Decreased menorrhagia, acne, PCOS, ovarian
cysts, PID, ovarian/endometrial cancer, benign breast disease, ectopic
pregnancy. Increased bone density.
What kind of hormone(s) does the NuvaRing contain? ~CORRECT
ANSWER~✓✓Estrogen and Progestin
How long can the NuvaRing be removed without losing efficacy? ~CORRECT
ANSWER~✓✓3 hours
What hormone(s) does the transdermal patch contain (orthevra or xulane)?
~CORRECT ANSWER~✓✓Estrogen and Progestin
Is the patch effective for all shapes and sizes of women? ~CORRECT
ANSWER~✓✓Less effective in obese women
,What are the contraindications to the transdermal patch for BC? ~CORRECT
ANSWER~✓✓Same as COC's: Smoker >/= age 35, history of thrombolytic events
(MI, DVT, stroke), history or current breast cancer, uncontrolled HTN or DM,
Prolonged immobilization, Triglycerides > 250, active liver disease, women at
increased risk of cardiac disease, active SLE, undiagnosed vaginal bleeding
What are some extended use combination contraceptives? How do they work?
~CORRECT ANSWER~✓✓Seasonale, Seasonique, Lybrel- the lining of the uterus
doesn't build up, so menses is not needed. The pills delay or eliminate
menstruation
What are the benefits of extended use contraceptives? ~CORRECT
ANSWER~✓✓Decreased anemia, dysmenorrhea, or pre-menstrual depression
What is common during the first several months of use in extended use
combination contraceptives? ~CORRECT ANSWER~✓✓Breakthrough bleeding
(BTB)
Hillary is a 38 y.o smoker with SLE. She wants to use a BC pill, but does not
know what kind. As her NP, what would you suggest? ~CORRECT
ANSWER~✓✓A progestin only BC option. Due to her SLE, a progestin only
option is preferred to a COC, but must still be used in caution.
Laura has been prescribed a POP. She reports working 12 hour shifts and getting
home at irregular hours each night. What is appropriate education for Laura,
concerning her POP? ~CORRECT ANSWER~✓✓MUST be taken at the SAME
, time each day. A delay of even a couple of hours can result in contraceptive
failure. And you don't want that, Laura!
Erin had her baby 4 months ago. She is still breastfeeding, but wants to start on
contraception. What is a safe contraceptive to start her on? ~CORRECT
ANSWER~✓✓Progestin only methods- Safe to use while breastfeeding
Allison is very concerned b/c she was started on a progestin only contraceptive
device two months ago and has had irregular bleeding. What should you tell
her? ~CORRECT ANSWER~✓✓Irregular bleeding is very common with all
progestin only methods of BC.
Maria has heard about IUD's from her friend and comes to your clinic today
wanting to discuss advantages, SE's, and contraindications of IUD's. What
should you tell her? ~CORRECT ANSWER~✓✓Advantages: Decreased
menorrhagia, dysmenorrhea, and anemia, can be used by lactating women and
in those w/ contraindications to estrogen. May be used as treatment for
menorrhagia.
SE's: Irregular bleeding (may be heavy), worse the first few months. Headache,
mastalgia, acne, expulsion (more common in first few cycles), uterine perforation
at time of insertion
CONTRAINDICATIONS: Pregnancy!!, uterine abnormalities causing distortion,
Acute PID, or high risk for PID, endometrial infection in past 3 months. Uterine,
cervical, breast cancer. undiagnosed vaginal bleeding, acute mucopurulent
cervicitis.
What do Mirena, Skyla, Liletta, and Kyleena all have in common? ~CORRECT
ANSWER~✓✓They are all progestin-only IUD's; Highly effective with a duration
of 3-5 years
